<script type="text/javascript">
    $(function() {
        {if $result}
        dr_tips('{$result.msg}');
        {/if}
    });
</script>
<style type="text/css">
	input {
        width: 444px;
	    height: 43px;
	    font-size: 18px;
	    padding-left: 20px;
	    border: 1px solid #aaa;
	    margin-bottom: 40px;
    }
    textarea {
    font-family: "Microsoft YaHei","微软雅黑","MicrosoftJhengHei","华文细黑","STHeiti","MingLiu";
        width: 444px;
	    font-size: 18px;
	    padding-left: 20px;
	    padding-top: 10px;
	    border: 1px solid #aaa;
	    margin-bottom: 40px;
    }
    .btn{
        background-color:transparent;
		border:0px;
		width:132px;height:48px;
		background-size:cover;
		background-image:url({HOME_THEME_PATH}images/contactus/btn1.png);
     	cursor:pointer;
     	color:white;
	}
    .btn:active{
        background-color:transparent;     
		border:0px;
		width:132px;height:48px;
		background-size:cover;
		background-image:url({HOME_THEME_PATH}images/contactus/btn2.png);
	}
</style>
<div class="blog-body">
	<div class="blog-container">
		<div class="blog-main">
			<div class="row">
				<div class="col-md-12">
					<div class="portlet light">
						<div class="portlet-title">
						</div>
						<div class="portlet-body" style="padding-top: 20px;">
							<form action="" class="form-horizontal" method="post" name="myform" id="myform">
								<div class="form-group" id="dr_row_title">
    							<div class="col-md-9"><input class="form-control" placeholder="姓名(必填)" type="text" name="data[title]" id="dr_title" value="" style="width:444px;" required="required"></div>
								</div>
								<div class="form-group" id="dr_row_phonenum">
								    <div class="col-md-9"><input class="form-control" placeholder="电话(必填)" type="text" name="data[phonenum]" id="dr_phonenum" value="" style="width:444px;" required="required"></div>
								</div>
								<div class="form-group" id="dr_row_email">
								    <div class="col-md-9">
								    	<input class="form-control" type="text" name="data[email]" placeholder="E-mail(选填)" id="dr_email" value="" style="width:444px;">
								    </div>
								</div>
								<div class="form-group" id="dr_row_content">
								    <div class="col-md-9">
								    	<textarea class="form-control" style="height:100px; width:640px;" placeholder="备注(选填200字以内)" name="data[content]" id="dr_content"></textarea>
								    </div>
								</div>
								<div class="portlet-body form myfooter">
									<div class="form-actions text-center">
										<button type="submit" class="btn green"> <i class="fa fa-save"></i></button>
									</div>
								</div>
							</form>
						</div>
					</div>
				</div>
			</div>
		</div>
	</div>
</div>
